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      KCI등재 SCIE SCOPUS

      Recent Trends of Medical Expenses Associated with Radiation Therapy in Korea Based on HIRA Big Data

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      https://www.riss.kr/link?id=A108662278

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      다국어 초록 (Multilingual Abstract)

      Purpose We aimed to determine the trends in the use of radiotherapy (RT) and the expenses associated with it in South Korea.
      Materials and Methods The statistical data of the claims and reimbursement records provided on the Health and Insurance Review and Assessment Service website were utilized. This included information such as the number of patients, fractions, medical expenses according to treatment codes, in/outpatient, sex, age, and regions of hospitals. We analyzed data from 2016 to 2020.
      Results With a growing RT infrastructure and an increase in the number of radiation oncologists, the expenses for RT were 605.5 million USD in 2020, which had increased 1.5 times from 394.7 million USD in 2016. This growth was mainly because of the increased usage of advanced RT techniques. Furthermore, the proportion of intensity-modulated radiation therapy (IMRT) expenses in the total expenses increased by 1.6 times from 48.8% in 2016 to 76.9% in 2020. Advanced techniques were used more commonly in older individuals or children. However, the proportion of IMRT expenses increased mostly in young women. Additionally, geographical differences in RT use and expense were observed, although the gap in the IMRT fractions decreased among the regions.
      Conclusion Recent medical expenses associated with RT in Korea have increased in tandem with technological advances and changes in demographics.
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      Purpose We aimed to determine the trends in the use of radiotherapy (RT) and the expenses associated with it in South Korea. Materials and Methods The statistical data of the claims and reimbursement records provided on the Health and Insurance Review...

      Purpose We aimed to determine the trends in the use of radiotherapy (RT) and the expenses associated with it in South Korea.
      Materials and Methods The statistical data of the claims and reimbursement records provided on the Health and Insurance Review and Assessment Service website were utilized. This included information such as the number of patients, fractions, medical expenses according to treatment codes, in/outpatient, sex, age, and regions of hospitals. We analyzed data from 2016 to 2020.
      Results With a growing RT infrastructure and an increase in the number of radiation oncologists, the expenses for RT were 605.5 million USD in 2020, which had increased 1.5 times from 394.7 million USD in 2016. This growth was mainly because of the increased usage of advanced RT techniques. Furthermore, the proportion of intensity-modulated radiation therapy (IMRT) expenses in the total expenses increased by 1.6 times from 48.8% in 2016 to 76.9% in 2020. Advanced techniques were used more commonly in older individuals or children. However, the proportion of IMRT expenses increased mostly in young women. Additionally, geographical differences in RT use and expense were observed, although the gap in the IMRT fractions decreased among the regions.
      Conclusion Recent medical expenses associated with RT in Korea have increased in tandem with technological advances and changes in demographics.

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      참고문헌 (Reference)

      1 Kwon S, "Thirty years of national health insurance in South Korea : lessons for achieving universal health care coverage" 24 : 63-71, 2009

      2 Coy P, "The role of curative radiotherapy in the treatment of lung cancer" 45 : 698-702, 1980

      3 Kurtz J, "The curative role of radiotherapy in the treatment of operable breast cancer" 38 : 1961-1974, 2002

      4 허승재 ; 박원 ; 최도호, "Recent trends in intensity-modulated radiation therapy use in Korea" 대한방사선종양학회 37 (37): 249-253, 2019

      5 Bernier J, "Radiation oncology : a century of achievements" 4 : 737-747, 2004

      6 박해진 ; 오도훈 ; 신경환 ; 김진호 ; 최두호 ; 박원 ; 서창옥 ; 김용배 ; 안승도 ; 김수산 ; Division for Breast Cancer, Korean Radiation Oncology Group, "Patterns of Practice in Radiotherapy for Breast Cancer in Korea" 한국유방암학회 21 (21): 244-250, 2018

      7 Thariat J, "Past, present, and future of radiotherapy for the benefit of patients" 10 : 52-60, 2013

      8 조병철, "Intensity-modulated radiation therapy: a review with a physics perspective" 대한방사선종양학회 36 (36): 1-10, 2018

      9 Lee Jeongshim ; Kim Woo Chul ; Yoon Won Sup ; Rim Chai Hong, "Implications of Radiotherapy Utilization in Korea from 2010 to 2019" 대한의학회 36 (36): 1-11, 2021

      10 Organisation for Economic Co-operation and Development, "Health at a glance 2021"

      1 Kwon S, "Thirty years of national health insurance in South Korea : lessons for achieving universal health care coverage" 24 : 63-71, 2009

      2 Coy P, "The role of curative radiotherapy in the treatment of lung cancer" 45 : 698-702, 1980

      3 Kurtz J, "The curative role of radiotherapy in the treatment of operable breast cancer" 38 : 1961-1974, 2002

      4 허승재 ; 박원 ; 최도호, "Recent trends in intensity-modulated radiation therapy use in Korea" 대한방사선종양학회 37 (37): 249-253, 2019

      5 Bernier J, "Radiation oncology : a century of achievements" 4 : 737-747, 2004

      6 박해진 ; 오도훈 ; 신경환 ; 김진호 ; 최두호 ; 박원 ; 서창옥 ; 김용배 ; 안승도 ; 김수산 ; Division for Breast Cancer, Korean Radiation Oncology Group, "Patterns of Practice in Radiotherapy for Breast Cancer in Korea" 한국유방암학회 21 (21): 244-250, 2018

      7 Thariat J, "Past, present, and future of radiotherapy for the benefit of patients" 10 : 52-60, 2013

      8 조병철, "Intensity-modulated radiation therapy: a review with a physics perspective" 대한방사선종양학회 36 (36): 1-10, 2018

      9 Lee Jeongshim ; Kim Woo Chul ; Yoon Won Sup ; Rim Chai Hong, "Implications of Radiotherapy Utilization in Korea from 2010 to 2019" 대한의학회 36 (36): 1-11, 2021

      10 Organisation for Economic Co-operation and Development, "Health at a glance 2021"

      11 Huh SJ, "Current status of the infrastructure and characteristics of radiation oncology in Korea" 37 : 623-627, 2007

      12 Dokiya T, "Current status of radiation therapy in Japan from various statistical information(Part 2)" 138 : 28-30, 2020

      13 Dokiya T, "Current status of radiation therapy in Japan from various statistical information(Part 1)" 137 : 31-33, 2020

      14 Huh SJ, "Comparison of radiotherapy infrastructure between Korea and Japan" 49 : 1024-1028, 2019

      15 홍세리 ; 원영주 ; 이재준 ; 정규원 ; 공현주 ; 임정수 ; 서홍관 ; The Community of Population-Based Regional Cancer Registries, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2018" 대한암학회 53 (53): 301-315, 2021

      16 Chung Y, "A survey of patterns of practice on palliative radiation therapy for bone metastasis in Korea" 139 : 2089-2096, 2013

      17 임채홍 ; 이정심 ; 김우철 ; 양대식 ; 윤원섭 ; 금웅섭 ; 김철용, "A Survey of Radiation Therapy Utilization in Korea from 2010 to 2016: Focusing on Use of Intensity-Modulated Radiation Therapy" 대한의학회 33 (33): 28-36, 2018

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